AAPC CRC Exam 1, AAPC CRC practice
exam 3, AAPC CRC Practice test 2
Which one of the following should be reported as a history code once
the patient has been discharged from the hospital?
A. Diabetes type 2 controlled
B. Breast cancer
C. Acute Respiratory Failure
D. CKD Stage 4 - Correct AnswerC. Acute Respiratory Failure
In order for a coder to properly code for a vascular ulcer, which of the
following must be included by the treating provider in the
documentation?
A. Location and type of ulcer must be described for vascular ulcers
B. Size and location of ulcer must be described for vascular ulcers
C. Size and type of ulcer must be described for vascular ulcers
D. Only the location of the ulcer must be described for vascular ulcers -
Correct AnswerA. Location and type of ulcer must be described for
vascular ulcers
What is the function of the thyroid gland?
A. It secretes hormones regulating body metabolism and blood calcium
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B. It secretes hormones regulating the secretion of insulin and
hemoglobin
C. It secretes hormones regulating mood and growth hormones
D. It secretes hormones regulating the immune system and blood
calcium - Correct AnswerA. It secretes hormones regulating body
metabolism and blood calcium
Which cells produce hormones to regulate blood sugar?
A. Eosinophils
B. Pancreatic islets
C. Hemoglobin
D. Target cells - Correct AnswerB. Pancreatic islets
Excessive potassium in the blood is referred to as:
A. Hematuria
B. Hyperkalemia
C. Hypoproteinemia
D. Hypernatremia - Correct AnswerB. Hyperkalemia
Predictive Modeling can use many data elements. Which is (are)
beneficial for identifying a person with COPD?
I. DME claims
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II. Rx claims
III. Therapy claims
A. I
B. II and III
C. I, II, and III
D. None of the above - Correct AnswerC. I, II, and III
What is predictive modeling?
A. Analysis of data to determine a hypothesis related to the future
health care needs of patients
B. Cost comparison of health care costs generated locally versus
nationally
C. Comparison of money saved with risk adjustment models compared
to fee-for-service models
D. Chronic disease management education to prevent high health care
costs - Correct AnswerA. Analysis of data to determine a hypothesis
related to the future health care needs of patients
Which statement is TRUE regarding risk adjustment models?
A. Additional reimbursement is allotted for acute care
B. Risk scores are used to adjust payments for each beneficiary's
expected expenditures
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C. Risk scores are used to monitor health care outcomes and response
to treatment for each patient
D. Determination of payment is made based on the first assessment of
the patient during a calendar year - Correct AnswerB. Risk scores are
used to adjust payments for each beneficiary's expected expenditures
Which of the following can affect RAF score?I. Reporting the
manifestation of a chronic illnessII. Disease interactionsIII. Patient ageIV.
Reporting acute illnesses (eg, URI and UTI)
A. I and II
B. I and IV
C. I, II, and III
D. I, II, III, and IV - Correct AnswerC. I, II, and III
Which of the following regarding HEDIS is NOT true?
A. It is the acronym for Healthcare Effectiveness Data and Information
Set
B. It's developer and sponsor is the National Committee for Quality
Assurance (NCQA), a not-for-profit, non-government organization
C. It is a set of standardized performance measures designed to assess
the quality of health care and services provided by managed care plans
D. It is a division of the Centers for Medicare and Medicaid Services -
Correct AnswerD. It is a division of the Centers for Medicare and
Medicaid Services
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